Massage Therapy Review:
Passing the NCETMB, NCETM, and MBLEx
Chapter 5
Therapeutic Massage and Bodywork Applications
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5-2
Pre-class Assignment
• Review Chapter 5 of
your Massage Therapy
Review book
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5-3
Effects of Massage
• Physiological
Effects
• Emotional Effects
• Psychological
Effects
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5-4
Basic Supine Drapes
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5-5
Basic Prone Drapes
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5-6
Signs and Symptoms of Stress
• Physical
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Headaches
Rapid Breathing
Sweaty Palms
Dry Mouth
Palpitations
Lightheadedness
Stomachaches
Difficulty Concentrating
Sleep Problems
• Emotional
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Insomnia
Depression
Anxiety
Nightmares
Crying Spells
Feelings of
Helplessness
– Lack of Energy
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5-7
Signs and Symptoms of Stress,
Cont’d
• Behavioral
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Alcohol or Drug Use
Reduced Sex Drive
Irritability and Impatience
Anger and Aggression
Social Isolation
Changes in Appetite
Loss of Interest and
Boredom
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5-8
Stress Management Techniques
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Breathing Techniques
Biofeedback
Visualization
Exercise
Meditation
Massage
Acupressure
Aromatherapy
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5-9
Stress Management Techniques,
Cont’d
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Cranio-sacral Therapy
Hydrotherapy
Hot Stone Therapy
Integrative Manual
Therapy
Manual Lymph
Drainage
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5-10
Stress Management Techniques,
Cont’d
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Muscle Energy
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Techniques
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Myofascial Release
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Neuromuscular Therapy
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On-Site Chair Massage
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Perinatal Massage
Reflexology
Shiatsu Therapy
Sports Massage
Swedish Massage
Thai Massage
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5-11
Aromatherapy
• Calming Aromas
– Chamomile
– Clary Sage
– Lavender
– Sandalwood
– Tangerine
– Ylang-Ylang
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• Energizing Aromas
– Eucalyptus
– Juniper
– Lemon
– Peppermint
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5-12
Hydrotherapy – Heat
• General Uses
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Promotes Circulation
Relieve Cramps/Spasms
Relieves Stress
• Local Effects
– Vasodilation/Redness
– Increase Leukocyte
Migration through Cell
Walls
– Muscle Relaxation
– Increase Cell
Metabolism
– Local Analgesia
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5-13
Hydrotherapy – Heat, Cont’d
• Systemic Effects
– Increase Heart Rate
– Increase Nervous
System Stimulation,
then Sedation
– Increase Digestive
Process
– Decrease Cellular
Metabolism Internally
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• Contraindications
– Inflammation
– Circulatory/Heart
Conditions
– Pregnancy
– Geriatric Client
– Infant
– Cancer
– Impaired Nerve
Sensitivity
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5-14
Hydrotherapy – Cold
• General Uses
– Reduce Inflammation
and Secondary Injury
– Relieve Muscle Spasms
– Promote Healing
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• Local Effects
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Initial Vasoconstriction
Decrease in Circulation
Decrease in Leukocyte
Migration through Cell
Walls
– Decrease Cell
Metabolism
– Muscle Contraction
– Numbing Analgesic
Effect
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5-15
Hydrotherapy – Cold, Cont’d
• Systemic Effects
– Increase Nervous
System Stimulation,
then Sedation
– Initial Increase in Heart
Rate, then Decrease
– Increase in Cellular
Metabolism
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• Contraindications
– Circulatory/Heart
Conditions
– Pregnancy
– Geriatric Client
– Infant
– Cancer
– Impaired Nerve
Sensitivity
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5-16
Massage Strokes and
Techniques
• Holding
– Allows for quiet focus
for both client and
therapist
– Allows client to adjust
to being touched and
begin relaxation process
– Generally used as initial
or resting position
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• Compression
– Pressure into the body
to help spread tissue
against underlying
structures
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5-17
Massage Techniques and Strokes,
Cont’d
• Effleurage
– Helps to warm up the
muscles
– Helps to spread the
lubricant
– Allows client to adjust
to your touch
– Also known as
“gliding”
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5-18
Massage Techniques and Strokes,
Cont’d
• Petrissage
– Helps to work deeper
tissues
– Because of the above, it
is used after effleurage
– Also known as
“kneading”
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5-19
Massage Techniques and Strokes,
Cont’d
• Vibration
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Enhances relaxation
Increases circulation
Relieves pain
Relieves upper
respiratory tract
congestion
– Reduces trigger and
tender point activity
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5-20
Massage Techniques and Strokes,
Cont’d
• Friction
– Breaks down adhesions
– Generally performed
after petrissage so
muscles are
appropriately warmed
up
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